SKAGGS COMMUNITY HEALTH CENTER AND CLINICS NPI 1881678688

NPI Information

NPI: 1881678688
Provider Name: SKAGGS COMMUNITY HEALTH CENTER AND CLINICS

Doing Business As: BRANSON HEART CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1150 STATE HIGHWAY 248
STE. 100
BRANSON, MO
ZIP 65616
Phone: (417) 336-4112
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SKAGGS COMMUNITY HEALTH CENTER AND CLINICS is a specialist in Branson, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SKAGGS COMMUNITY HEALTH CENTER AND CLINICS NPI is 1881678688. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Branson Heart Center.

The provider's business location address is:

1150 STATE HIGHWAY 248
STE. 100
BRANSON, MO
ZIP 65616-758
Phone: (417) 336-4112
Fax: (417) 335-4684

The provider's authorized official is Steve Erixson .
The authorized official title is Ceo and has the following contact phone number (417) 336-4112.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist			MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	155784002	MEDICAID	ARKANSAS
2	507263200	MEDICAID	MISSOURI
3	5F543	MEDICARE PIN	ARKANSAS
4	000014479	MEDICARE PIN	MISSOURI
5	CI2096	OTHER	MISSOURI	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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